STEP 1 - PLEASE PROVIDE DETAILS OF YOUR BOOKING
Name of Hirer
Start date of your holiday
Your Booking Ref.
Location of your holiday
Bradford on Avon
Your Email Address.
STEP 2 - PLEASE PROVIDE CARD DETAILS FOR YOUR PAYMENT
Debit/*Credit Card Number.
Card Type (please tick)
Visa Credit **
Master Card Credit **
Master Card Debit
NB **Credit Card & non UK debit card payments are subject to a 2% admin charge. No charge for use of UK debit cards.
Name on Card
Address of Card holder (if different from above).
Card Expiry (mm/yy)
Card Security Code *
* Last 3 digits on reverse of card by signature strip
I authorise Black Prince Holidays Ltd. to charge the BALANCE PAYMENT for my boating holiday to this debit/credit card
I authorise Black Prince Holidays Ltd. to charge the 25% booking deposit (for holidays starting more than 8 weeks away) for my boating holiday to this debit/credit card
I authorise Black Prince Holidays Ltd. to take the following amount from my card
(Please insert amount you wish to pay)
Please note that written receipts are only provided on request (please call 01527 575115 to request)